Kimberly Jo Callow, RDN, IBCLC - Medicare Dietitian in Queen Creek, AZ

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Kimberly Jo Callow, RDN, IBCLC is a medicare enrolled "Dietitian, Registered" provider in Queen Creek, Arizona. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is 3203 W Goldmine Mountain Cv, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 232-0246.

Kimberly Jo Callow is licensed to practice in Arizona (license number 86115695) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1770201931.

Contact Information

Kimberly Jo Callow, RDN, IBCLC
3203 W Goldmine Mountain Cv,
Queen Creek, AZ 85144-3063
(480) 232-0246
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Jo Callow
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience11 Years
Location3203 W Goldmine Mountain Cv, Queen Creek, Arizona
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Jo Callow graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1770201931
  • Provider Enumeration Date: 08/15/2022
  • Last Update Date: 03/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5294270575
  • Enrollment ID: I20240710004876

Medical Identifiers

Medical identifiers for Kimberly Jo Callow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770201931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86115695 (Arizona)Primary
174N00000XLactation Consultant, Non-rn L-163757 (Arizona)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Jo Callow allows following entities to bill medicare on her behalf.
Provider NameAm Nutrition Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003011602
PECOS PAC ID: 1254430580
Enrollment ID: O20070627000063

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jo Callow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Jo Callow, RDN, IBCLC
3203 W Goldmine Mountain Cv,
Queen Creek, AZ 85144-3063

Ph: (480) 232-0246		Kimberly Jo Callow, RDN, IBCLC
3203 W Goldmine Mountain Cv,
Queen Creek, AZ 85144-3063

Ph: (480) 232-0246

Reviews and Comments


Dietitian, Registered in Queen Creek, AZ

Mrs. Marisa Martineau Stephens, RDN
Dietitian
Medicare: May Accept Medicare Assignments
Practice Location: 20947 E Mockingbird Dr, Queen Creek, AZ 85142
Phone: 480-221-3579    
Tana D Ingram, MS, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 22072 E Pecan Dr, Queen Creek, AZ 85142
Phone: 480-495-0314    
Jenna Hostetler, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2794 W Silver Creek Ln, Queen Creek, AZ 85144
Phone: 877-731-6909    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.